**5.2 Lifestyle optimization**

Lifestyle interventions addressed to optimize nutrition, increase physical activity, control body weight, stop smoking, are the cornerstone for T2DM therapy, for both glycemic and other CV risk factors [19, 50]. In terms of CV risk control, lifestyle management aims to, and it is proven to achieve [51]:


Although the Look AHEAD (Action for Health in Diabetes) study did not show. that intensive lifestyle optimization reduces CV events in people with diabetes and obesity, it showed significant control of CV risk factors, with fewer medication requirements and long-term weight loss maintenance (4.7% at eight years) [52].
